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Proper Discharge Note

Michelle Tristani, M.S., CCC-SLP

December 26, 2012

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Question

Does performing a screening and then writing on the screen/report, “No skilled ST services are necessary” suffice as a discharge of a standing order?

Answer

No it does not.  You have to recommend another order that says, “Please D/C speech pathology eval order,” and then write on your screening, “No skilled ST services are necessary as patient is at baseline status.”  I would state the reason why no skilled ST services are necessary.  Make sure that is in your documentation. Then, I would get another order that discharges the eval order.  

Michelle L. Tristani, M.S., CCC-SLP is the National Rehab Clinical Specialist for Speech Pathology with RehabCare.  Michelle holds a B.A. in English and Communication Disorders from Boston College and an M.S. in Speech Language Pathology from the University of Rhode Island.  She has delivered communication, cognition and swallowing diagnostic and therapeutic services within the adult and geriatric populations since 1991.


michelle tristani

Michelle Tristani, M.S., CCC-SLP

Michelle L. Tristani, M.S., CCC-SLP is the National Rehab Clinical Specialist for Speech Pathology with RehabCare.  Michelle holds a BA in English and Communication Disorders from Boston College and an MS in Speech Language Pathology from the University of Rhode Island.  She has delivered communication, cognition and swallowing diagnostic and therapeutic services within the adult and geriatric populations since 1991. Having practiced across the continuum of care from acute care to short-term rehab to long-term care, Michelle has specialized in cognitive and swallowing disorders.  She has presented at many workshops, conferences and seminars focusing on Alzheimer's disease, assessment and management of cognitive disorders, swallowing disorders in the cognitively impaired patient, speech pathology services in the tracheostomized and ventilator dependent patient, palliative care, and professional / workplace etiquette.  


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